Latest Inspection
This is the latest available inspection report for this service, carried out on 30th October 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Holy Cross Priory.
Annual service review
Name of Service: Holy Cross Priory The quality rating for this care home is: The rating was made on: two star good service 1 1 1 1 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Jo Mohammed Date of this annual service review: 2 9 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Lewes Road Cross In Hand Heathfield East Sussex TN21 0TS 01435863298 01435867843 HCPriory@tiscalli.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: The Grace and Compassion Benedictines Number of places (if applicable): Under 65 Over 65 0 24 The maximum number of service users ot be accommodated is 24 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either : Whose primary needs on admission to the home are within the following category: Old Age ,not falling within any other category (OP) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Holy Cross Priory is a residential home registered to provide care and accommodation for up to twenty-four older people. The home has been owned and run by the Benedictine Sisters of Our Lady of Grace and Compassion, a registered charity since 1964. The charity is the registered owner of six other residential/nursing homes and several sheltered housing schemes nationally. Change of address of Responsible Individual. 1 1 1 1 2 0 0 8 Annual Service Review Page 2 of 6 The home is a large detached Victorian Manor house comprising of two detached properties. This is divided into a residential unit and nursing unit that operate seperately. Within the grounds are sheltered accommodation units. The history of the building includes being a hotel in the 1930s and a Monastery during the 1950s. It is set within extensive grounds in a rural location, between the villages of Cross-in-Hand and Blackboys. The home is presented across three floors with a shaft lift providing level access to all floors. Residents accommodation consists of twenty four single rooms with the majority being en-suite. Shared facilities include a large lounge, dining room, entrance hall and chapel. Care staff and residents are principally from the religious community. The home provides care and support to residents who are both privately funded and those who are funded by Social Services. Details about current fees, the homes Statement Of Purpose, Service User Guide and inspection reports can be obtained directly from the home. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: -The Annual Quality Assurance Assessment [AQAA] that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. -Information we have about how the service has managed any complaints. -What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. -The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. -Relevant information from other organisations. -What other people have told us about the service. What has this told us about the service? The Annual Quality Assurance Assessment [AQAA] that we took our information from is dated 16th September 2009. This provided satisfactory information. In the summary section of the Annual Quality Assurance Assessment [AQAA] the home identifies what the service does well as continuing to provide residents with a secure and homely atmosphere; with spiritual needs well met and providing a high standard of care. The Annual Quality Assurance Assessment [AQAA] identifies how the home has improved over the last twelve months with staff training and supervision, provision of activities, on-going maintenance and redecoration. They identify what they could do better and how they are going to do this by continually improving the environment. Some examples of improvements that have occurred over the last twelve months include replacing all the curtains with flame retardant ones. Installing more emergency lights and smoke detectors around the home. All the gutters and broken roof tiles have been replaced and the roof cleaned. Staff have attended courses in malnutrition and prevention of falls. Meals have improved with the appointment of a new permanent cook and an activities co-ordinator has been appointed. Outings have been arranged with residents involvement. An organist visits the home monthly to entertain residents; regular sherry mornings, slide shows and cream teas have been introduced. The homes future plans include continuing with the redecoration and structural improvements. To purchase more wheelchairs to give residents improved access to the garden. To try and improve residents participation in activities by meeting with them Annual Service Review Page 4 of 6 individually to discuss their suggestions and arrange extra activities/outings. To maintain staffs training. To contact an Occupational Therapist in respect of an exercise programme for residents. To provide a specific outdoor area for social activities to facilitate gardening, social gatherings, hobbies and interests. To encourage the residents to go out for meals and to arrange regular slide shows, musical and cultural entertainment. Other aspects identified in the AQAA indicate how they act on the views of residents by giving residents the opportunity to express their views, concerns and ideas at meetings where family and friends are also invited. Providing residents, visitors, friends and health care professionals with a quality assurance questionnaire to complete and then acting on suggestions. They indicate how they have made changes based on information received by improving meals, increasing activities and allocating carers more social time with individual residents. In respect of equality and diversity the home identifies they have good antidiscrimination policies in place and ensure staff follow good practice.They state they do not discriminate between anyone and do not tolerate discrimination amongst staff. They have made changes to their recruitment procedures in respect of lay staff to ensure there is no discrimination. The home was last inspected in November 2008. No requirements were made, four good practice recommendations were identified at that time. The data section of the AQAA indicates that two Sisters are doing their National Vocational Qualification [NVQ] in care at level 2, one at level 3 and another Sister is undertaking the Assessors course. There are currently thirteen staff in total with a National Vocational Qualification [NVQ] at level 2 or above in care and ten staff have completed the Skills For Care induction training. The AQAA indicates that maintenance of equipment, health, safety checks, policies, procedures and recruitment matters are in order. The home has identified in the AQAA that over the last twelve months they have not received any complaints or had any safeguarding investigations. The Care Quality Commission [CQC] have not received any concerns or complaints either since the last inspection in November 2008. The home reports notifications about significant occurrences to the Care Quality Commission [CQC]. The home has not been inspected since the last inspection in November 2008. What are we going to do as a result of this annual service review? We consider the quality rating of the home remains the same since the last key inspection. We will do a key inspection by November 2010 to review our assessment of the home. However, we reserve the right to re-visit this decision if additional information is brought to our attention. Annual Service Review Page 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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